The Philadelphia Regional Office of Emergency Medical Services (PROEMS) is the regional EMS council.
These documents are needed to apply for ambulance or quick response service licensure with PROEMS.
Name | Description | Released | Format |
---|---|---|---|
Ambulance service staffing requirement acknowledgement PDF | Use this form to acknowledge the staffing requirement for an ambulance company. | December 23, 2021 | |
Minimum staffing for a quick response service PDF | Regulations regarding staffing requirements for quick response services. | December 23, 2021 | |
Non-municipal ambulance service contact designation form PDF | Use this form to designate points-of-contact for a non-municipal ambulance service to receive important emergency response information. | December 23, 2021 | |
Service Medical Director’s agreement PDF | Use this form to accept a Service Medical Director position with an ambulance or quick response service. | December 23, 2021 | |
Statement of Ownership PDF | This form states the owner of an ambulance or quick response service and must be submitted with an ambulance licensure application. | December 23, 2021 | |
Statement of Participation PDF | Use this form to agree to follow operational requirements if called on by the Fire Department for emergency assistance. | December 23, 2021 |